Ethical Theories Flashcards

1
Q

What’s contractarianism?

A

Refers to moral theories based on the idea of a social contract/agreement among individuals for a mutual advantage.

John Rawls- uses contractarianism/social contract to defend moral principles governing how members of society should treat each other. He wonders, “ how should society structure itself to ensure fair distribution of equality and social advantages?”

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2
Q

What are requirements for Rawls’ principles of justice?

A
  1. People must first agree to them and have a starting point to ensure they’re fair and unbiased choices b/c if they’re fair, the principles will be just and the society will be just.
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3
Q

What is Rawls’ starting point (original position) based off of? What about the veil of ignorance?

A

The original position is all about taking normal, self interested, rational individuals and having them come together to choose principles that’ll determine their basic rights and duties and their share of society’s benefits and burdens (advantages and disadvantages- justice).

The veil of ignorance is all about being unaware of who the other deciders on the board are (don’t know their social class, race, status, etc…) it’s put In place to ensure decisions are fair and impartial.

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4
Q

According to Rawls, what are the 3 fundamental principles the deciding participants would agree to ?

A

1st principle (dominant principle) : Everyone is entitled to the most freedom possible, they should have basic rights, duties, and liberties (no more than anyone else). Liberties can’t be unfairly distributed to improve economic wellbeing

2nd principle: everyone is entitled to an equal chance to acquire income, wealth, opportunities, and positions of authority

3rd principle: if inequalities must exist,arrange them to the benefit of the least advantaged

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5
Q

Who’s the inspiration for virtue ethics?

A

Aristotle. He said the highest goal of humanity is a human flourishing (eudaimonia-happiness) and developing virtues.

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6
Q

What are some moral and nonmoral virtues?

A

Moral virtues: benevolence, honesty, loyalty, compassion, and fairness

Nonmoral virtues: prudence, reasonableness, patience

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7
Q

What does care ethics focus on?

A

Care ethics focuses on the unique demands of situations (individuality) And to the virtues/feelings that are central to close personal relationships (empathy, compassion, love, sympathy, and fidelity).

Ex: Kant- take care of your kids strictly out of obligation.
Care ethics: take care of your kids b/c you love and care about them.

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8
Q

What’s feminist ethics concerned with refuting?

A

Feminist- group of movements that support defining, and defending gender equity, and equal rights for women.

Feminist ethics is concerned about refuting 4 principles:

  1. Women’s moral concerns aren’t as important as men’s moral concerns
  2. Women are morally inferior (less mature/irrational) to men
  3. Domestic/ Private life issues/inequalities are inconsequential
    (Don’t matter)
  4. Women virtues aren’t central to morality (community, nature, feeling,sharing, caring, connection, etc..)
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9
Q

In applied ethics, what’s the concept of casuistry concerned with?

A

Casuistry is a process of reasoning that seeks to resolve moral problems by extracting/extending theoretical rules from a particular case and reapplying rules to new instances (case- based dentistry).

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10
Q

What’s a criticism of casuistry?

A

Casuists feel like cases are isolated and should be judged by the facts alone, but in order for the casuist to move from case to case, there must be a moral norm connecting the cases.

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11
Q

What’s the scientific criteria of adequacy ? What are the 2 different criteria?

A

It’s a theory that states the superior theory is the one that fares best when judged by generally accepted criteria.

Criteria:
1. Fruitfulness : does the theory make successful predictions about previous unknown or unexplained phenomena ? This will likely make this theory true

2.Conservatism: does this theory fit w/established scientific facts? This theory is most likely true

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12
Q

What’s the moral criteria of adequacy concerned with? What are the 3 criterions?

A

Moral criteria of adequacy- helps to explain right/wrong actions or good/bad people through certain criterion’s.

Criterions:
1. A new moral theory must have Consistency w/ our considered trustworthy moral judgments/ theories and facts.- no conflict b/w theory and relevant facts. Ex: we know slavery is bad, but if a theory argues that, the theory fails this criterion.
?? 2. Moral theories need Consistency w/ the facts of the moral life. They must acknowledge moral experiences: disagreeing about moral issues/giving reasons for accepting moral beliefs. Can’t act like it doesn’t exist.
3. Workability in real life situations. Resourcefulness in moral problem solving. If a theory can’t help solve moral problems, it’s not useful/credible.

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13
Q

According to the 1st and 3rd criteria of moral adequacy, why does utilitarianism fail?

A

3rd : It fails b/c it demands too much of us and blurs lines on obligatory/ supererogatory actions. It’s not a practical theory to real life moral problems.

1st: in certain cases, utilitarianism goes against justice and autonomy (self determination) for individual people to promote good for a larger audience. We know justice for all is a good thing, but utilitarianism might disagree if it’ll promote greater good in a population (killing a few to save a thousand)

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14
Q

According to the 1st & 3rd moral criteria of adequacy, why does Kant’s theory (duty/obligation) fail?

A

Criteria 1: if you had to lie to save a persons life, Kant would say tell the truth b/c you have a moral absolute duty to, but your truthful moral judgment says to lie to save a life.

Also Kant’s 1st categorical imperative is radical in terms of thinking about treating all equally. Ex: when killing all Christians is a mandate and you’re a Christian, You’d therefore have to kill your self based on imperative #1.

Criteria 3: due to the example above, Kant’s theories are useful for practical moral issues either, it’s too extreme and absolute.

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15
Q

According to Aristotle, what are virtues?

A

Virtues are traits that enable us to live well in communities. Aristotle also believes moral people can’s exist in isolation b/c it prevents them from developing necessary virtues for the good life.

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16
Q

In care ethics, what do the father’s voice and mother’s voice refer to?

A

Father’s voice: traditional view of ethics: principles/propositions in terms of justice, justification, and fairness’. Logos. Detached perspective

Mother’s voice: human caring and the memory of caring and being cared for. Eros

17
Q

What did the Case, “How much do we owe?”, Deal with ?

A

Dr. Sullivan returned from lunch and saw Edith Blake, an emergency pt in Operatory 2. She’s a former prostitute dealing w/ inflamed gingiva, caries in second bicuspid (premolar) upper left, and perio needs. Apparently, her upper left mouth pain was increasing and aspirin didn’t help. Mrs. Livingston (pt scheduled originally) has dental anxiety. Hygienist/Assistant (Elizabeth) didn’t find out payment process for Edith and that raises an issue. Dr. Sullivan proposes a long term payment plan. Edith only makes 20$ a week& that’s all she has to pay for exam. Dr. Refuses payment and offers to fill cavity for free.

18
Q

What did the case, “The Shady Pt” deal with?

A

Mr. Worthy and 2 of his shady friends entered Dr. David’s office. Agitated and looking for Valium, supposedly mr. Worthy needed a dental exam 1st for his car accident (insurance requirement). When Dr. David did exam, it was hard b/c Worthy twitched and couldn’t pinpoint source of pain. Dr. David couldn’t get a good dx from the exam/radiographs/testing ,so he gave Worthy 5 days of Valium upon him agreeing to come back for tx. He wanted to seal up fractures in the cusps of his teeth to hopefully eradicate the pain. 2 days later, Worthy called and demanded more Valium b/c of intense pain. Dr. David didn’t wanna prescribe it but he also didn’t wanna see Worthy as a pt b/c of shady behavior and appearance. Dr. David admitted that if Worthy looked different, he’d feel more at ease about the situation.

19
Q

What did the case, “The Cheapest will have to do?” Deal with?

A

Ina Kirchland’s 1st premolar has a coronal portion that’s fractured & it’s a major source of pain. Ina is on a fixed income so she can’t really afford dental tx. 3 options : 1. Dr. Luban prefers if Ina gets a root canal w/ post& crown (expensive). 2. Extraction (cheaper) but she needs to fill space. 2a. Extraction w/fixed bridge (More expensive) 2b. Extraction w/ removable prosthesis (cost less but needs more maintenance and possible replacement). Dr. Luban is conflicted w/ how to present options to Ina b/c he wants to be ethical but he knows she’ll choose the cheapest option.

20
Q

What makes medical and dental ethics different ?

A

Dental ethics must involve business and medical ethics because more dentists tend to be entrepreneurs more than physicians .

21
Q

What did the case, “Professionalism” deal with?

A

Professionalism dealt with 3 separate cases.

Case #1- Mr. Glover is a reliable pt that fell on hard times financially, he can’t pay for tx. He normally takes care of his teeth. However he slipped and bust his teeth on the pavement. One tooth, his incisor underwent pulpal necrosis. Tx would likely be a root canal, post, and a veneer crown. When presented w/ tx plan, Glover is mad b/c he prefaced appt by saying he couldn’t pay for anything expensive. He doesn’t want to lose the tooth but he can’t afford the proposed tx.

Case #2. Stacey Allen is a pt that’s complaining about a 3 unit fixed partial denture that was cemented 3 years ago. She has no evidence of bruxism, no periodontal disease, but when she ate a sandwich. She felt a hard object and two molar cusps in the bridge fell off. Stacey was angry and hounded you on if you would stand by your work and fix it for her or whether you’d make her pay. You stated that there are no guarantees for dental work. Preservation depends largely on pt practices and materials and methods.

Case #3- Dr. Malcomb is a dentist looking to scale his practice. So, he decides to sell high potency vitamin supplements in his office. He justifies this b/c he says he’s in the health business, so he starts asking pt whether or not they take supplements or not. He already plans on selling other types of supplements as well. Pt are excited about his new offering of vitamins. Is him selling vitamins ethical or not, being that he’s a dentist ?

22
Q

What did the “advertising” case deal with?

A

Dr. Lange is an associate and future partner of Dr. Sims. They are in need of some growth, so Dr. Sims places an ad in the paper stating that all cosmetic dental tx is guaranteed for 3 years. Dr. Lange feels that the ad is unethical b/c to guarantee something wouldn’t be totally true, especially when it comes to dental care.

23
Q

What does the “Turn and Burn” case deal with?

A

It deals with new hire D4 student Jack that interviewed and toured Dr. Prentice’s office. He noticed that Dr. Prentice was a nice successful guy but they didn’t agree on pt philosophy. Jack noticed first that there were a large # of pt and their tx had a super quick turnaround time. That practice has quotas. Dr. Prentice also states that pushing certain tx isn’t unethical b/c you’re doing stuff that wont harm teeth so its not lying to the pt when its said they need something done. Pt dont know what they need anyways.

24
Q

What’s the difference between morals and ethics ?

A

morals refer mainly to guiding principles, and ethics refer to specific rules and actions, or behaviors. A moral precept is an idea or opinion that’s driven by a desire to be good. An ethical code is a set of rules that defines allowable actions or correct behavior